Cross Sectional Survey on Association between Alcohol, Betel-Nut, Cigarette Consumption and Health Promoting Behavior of Industrial Workers in Ghaziabad

  • Arora, Dimple (Department of Public Health Dentistry, Sudha Rustogi College of Dental Sciences and Reserch) ;
  • Marya, Charu Mohan (Department of Public Health Dentistry, Sudha Rustogi College of Dental Sciences and Reserch) ;
  • Menon, Ipseeta (Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research) ;
  • Oberoi, Sukhvinder Singh (Department of Public Health Dentistry, Sudha Rustogi College of Dental Sciences and Reserch) ;
  • Dhingra, Chandan (Department of Public Health Dentistry, Sudha Rustogi College of Dental Sciences and Reserch) ;
  • Anand, Richa (Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research)
  • Published : 2015.02.04


Background: The work force in industries are at risk of developing unduly high rates of health and behaviour related problems including abuse of alcohol, betel nut and cigarette (alcohol, betel nut and cigarette consumption). This study describes the relationships between alcohol, betel nut and cigarette consumption and health promoting behaviour among industrial workers. Materials and Methods: A cross sectional survey was conducted on workers in various industries of Ghaziabad city with concerned authority permission. A sample size of 732 workers was calculated based on pilot study. Through Simple random sampling 732 workers in 20 to 50 years age group with informed consent were interviewed through structured, pretested, validated questionnaire in vernacular language by one calibrated investigator. Data on socio demography, alcohol, betel nut and cigarette consumption pattern and health behaviour were collected. The association between health promoting behaviour and alcohol, betel nut and cigarette consumption was analysed by Logistic regression and Chi-square test through SPSS 16 at p<0.05 and 95%CI as significant. Results: Total prevalence of alcohol, betel nut and cigarette consumption in study population was 88%. The prevalence of individual alcohol, betel nut and cigarette consumption were 82%, 68% and 79% respectively. Combined alcohol, betel nut and cigarette prevalence in study population was 58%. Alcohol and cigarette users were significantly higher (p<0.001) in 30 to 40 years age group with lower level of education having poor attitude towards health promoting behaviour, poor oral hygiene practices and rare indulgence in regular physical exercise. Conclusions: This study stimulate further research on exploring methods to prevent initiation of health risk behaviour and promote healthy behaviour with cessation help for the current alcohol, betel nut and cigarette users.


  1. Akrad ZT, Beitollahi JM, Khajetorab AA (2006). DMFT (Decayed, Missing, Filled, Teeth), Oral Health Index in Sweets and Cable Industry Workers. Iranian J Publ Health, 35, 64-8.
  2. Anaise JZ (1978). Prevalence of dental caries among workers in the sweets industry in Israel. Community Dent Oral Epidemiol, 6, 286-9.
  3. Bachanek T, Pawlowicz A, Tarczydlo B, et al (2001). Evaluation of dental health in mill workers. Part I. The state of dentition. Ann Agric Environ Med, 8, 103-5.
  4. Bureau of Health Promotion:
  5. Chung W, Lim S, Lee S (2012). Why is high-risk drinking more prevalent among men than women? Evidence from South Korea. BMC Publ Health, 12, 101.
  6. District Ghaziabad (2010). [Internet] Available from:
  7. Donath C, Graszel E, Baier D, et al (2011). Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs urban residence- a representative study. BMC Publ Health, 11, 84-7.
  8. Ghani WM, Razak IA, Yang Y, et al (2011). Factors affecting commencement and cessation of betel quid chewing behaviour in Malaysian adults. BMC Publ Health, 11, 82-7.
  9. Hsieh CJ (2003). Investigation of areca quid chewing and cigarette smoking prevalence rates and the health conscience of betel quid to health for adults in Chiayi city, Master thesis. Kaohsiung Medical University: Department of Oral Hygiene.
  10. Lee CH, Ko YC, Huang HL, Chao YY, et al (2003). The precancer risk of betel quid chewing, tobacco use and alcohol consumption in oral leukoplakia and oral sub mucous fibrosis in Southern Taiwan. Brit J Cancer, 88, 366-72.
  11. Leinsalu M, Kaposvari C, Kunst AE (????). Is income or employment a stronger predictor of smoking than education in economically less developed countries? A cross-sectional study in Hungary. BMC Publ Health, 11, 97.
  12. Martinez P, Roislien J, Naidoo N, et al (2011). Alcohol abstinence and drinking among African women: data from the world health surveys. BMC Publ Health, 11, 160.
  13. Mini GK, Sarma PS, Thankappan KR (2014). Pattern of tobacco use and its correlations among older adults in India. Asian Pac J Cancer Prev, 15, 6195-98.
  14. Morita I, Nakagaki H, Yoshii S, et al (2007). Gradients in periodontal status in Japanese employed males. J Clin Periodontol, 34, 952-6.
  15. Mukti RF, Samadder PD, Emran AA, et al (2014). Score based risk assessment of lung cancer and its evaluation for bangladeshi people. Asian Pac J Cancer Prev, 15, 7021-27.
  16. Oberoi SS, Sharma G, Nagpal A, et al (2014). Tobacco cessation in India: how can oral health professionals contribute? Asian Pac J Cancer Prev, 15, 2383-91.
  17. Reddy KS, Gupta PC (2004). Report on tobacco control in India. Ministry of health and family welfare, 15-60.
  18. Sebena R, Orosova O, Mikolajczyk RT, et al (2011). Selected socio-demographic factors and related differences in patterns of alcohol use among university students in Slovakia. BMC Publ Health, 11, 849-52.
  19. Su-Er Guo, Tung-Jung Huang, Jui-Chu Huang, et al (2013). Alcohol, betel-nut and cigarette consumption are negatively associated with health promoting behaviours in Taiwan: A cross-sectional study. BMC Publ Health, 13, 257-62.
  20. Tsai W, Wu M, Wang G, et al (2012). Chewing areca nut increases the risk of coronary artery disease in Taiwanese men: a casecontrol study. BMC Publ Health, 12, 162-66.
  21. Wen CP, Tsai SP, Cheng TY, et al (2005). Uncovering the relation between betel quid chewing and cigarette smoking in Taiwan. Tob Control, 14, 16-22.
  22. World Health Organization:
  23. Yadav A, Goel S, Lakshmi S (2014). Integration of tobacco control in masters of public health curricula of India. Asian Pac J Cancer Prev, 15, 5611-15.

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